| NPI | 1699515379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61549569) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31119) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-10-25 |